Purpose: Keloids are noncontagious, pathologic, irregular deposits of collagen within an injured area and its boundaries. Only a few publications have described treatment of facial keloids, and there is obvious inconsistency regarding the treatment of facial keloids, specifically due to the high rate of recurrence and patient’s expectation of the results. Materials and Methods: We performed a literature review for more than 35 articles to draw attention to the management and treatment of facial keloids. Results: There are several surgical techniques for managing facial keloids. First involves simple surgical excision. Second strategy involves surgical excision of the keloid within the margin of the lesion, leaving keloid at the periphery to avoid violating the healthy tissue thus minimizing the recurrence. The third strategy involves simple surgical excision of the keloid followed by radiotherapy which appears to be the most effective treatment of the keloids. A fourth technique involves simple surgical excision of the keloid followed by steroid injection. A fifth technique involves excision of the keloid and using the keloid skin for resurfacing or as a skin flap to cover the surgical defect followed by HBO treatment. A sixth technique involves excision of the keloid followed by using Cryopreserved Placental Membrane. There are also non-surgical strategies to manage keloids. The first involves Intralesional injection with a mixture of 5-fluorouracil and Betamethasone and the second involves hydration and compression therapy. Conclusions: Facial keloids are very difficult to manage. In addition, they may develop complications including infections. It is imperative to make all attempts to prevent keloid formation, as the management regardless of modality, often leads to recurrence.
| Published in | International Journal of Clinical Oral and Maxillofacial Surgery (Volume 9, Issue 1) |
| DOI | 10.11648/j.ijcoms.20230901.12 |
| Page(s) | 4-8 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Keloids, Keloid Treatment, Keloid Radiotherapy, Facial Scars
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APA Style
Yousef Alshamrani, Fawaz Alotaibi, Yoh Sawatari, Abdulrahman Hesham. (2023). Management of Complex Facial Keloid -- A Review of the Literature. International Journal of Clinical Oral and Maxillofacial Surgery, 9(1), 4-8. https://doi.org/10.11648/j.ijcoms.20230901.12
ACS Style
Yousef Alshamrani; Fawaz Alotaibi; Yoh Sawatari; Abdulrahman Hesham. Management of Complex Facial Keloid -- A Review of the Literature. Int. J. Clin. Oral Maxillofac. Surg. 2023, 9(1), 4-8. doi: 10.11648/j.ijcoms.20230901.12
AMA Style
Yousef Alshamrani, Fawaz Alotaibi, Yoh Sawatari, Abdulrahman Hesham. Management of Complex Facial Keloid -- A Review of the Literature. Int J Clin Oral Maxillofac Surg. 2023;9(1):4-8. doi: 10.11648/j.ijcoms.20230901.12
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Download@article{10.11648/j.ijcoms.20230901.12,
author = {Yousef Alshamrani and Fawaz Alotaibi and Yoh Sawatari and Abdulrahman Hesham},
title = {Management of Complex Facial Keloid -- A Review of the Literature},
journal = {International Journal of Clinical Oral and Maxillofacial Surgery},
volume = {9},
number = {1},
pages = {4-8},
doi = {10.11648/j.ijcoms.20230901.12},
url = {https://doi.org/10.11648/j.ijcoms.20230901.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcoms.20230901.12},
abstract = {Purpose: Keloids are noncontagious, pathologic, irregular deposits of collagen within an injured area and its boundaries. Only a few publications have described treatment of facial keloids, and there is obvious inconsistency regarding the treatment of facial keloids, specifically due to the high rate of recurrence and patient’s expectation of the results. Materials and Methods: We performed a literature review for more than 35 articles to draw attention to the management and treatment of facial keloids. Results: There are several surgical techniques for managing facial keloids. First involves simple surgical excision. Second strategy involves surgical excision of the keloid within the margin of the lesion, leaving keloid at the periphery to avoid violating the healthy tissue thus minimizing the recurrence. The third strategy involves simple surgical excision of the keloid followed by radiotherapy which appears to be the most effective treatment of the keloids. A fourth technique involves simple surgical excision of the keloid followed by steroid injection. A fifth technique involves excision of the keloid and using the keloid skin for resurfacing or as a skin flap to cover the surgical defect followed by HBO treatment. A sixth technique involves excision of the keloid followed by using Cryopreserved Placental Membrane. There are also non-surgical strategies to manage keloids. The first involves Intralesional injection with a mixture of 5-fluorouracil and Betamethasone and the second involves hydration and compression therapy. Conclusions: Facial keloids are very difficult to manage. In addition, they may develop complications including infections. It is imperative to make all attempts to prevent keloid formation, as the management regardless of modality, often leads to recurrence.},
year = {2023}
}
TY - JOUR T1 - Management of Complex Facial Keloid -- A Review of the Literature AU - Yousef Alshamrani AU - Fawaz Alotaibi AU - Yoh Sawatari AU - Abdulrahman Hesham Y1 - 2023/06/06 PY - 2023 N1 - https://doi.org/10.11648/j.ijcoms.20230901.12 DO - 10.11648/j.ijcoms.20230901.12 T2 - International Journal of Clinical Oral and Maxillofacial Surgery JF - International Journal of Clinical Oral and Maxillofacial Surgery JO - International Journal of Clinical Oral and Maxillofacial Surgery SP - 4 EP - 8 PB - Science Publishing Group SN - 2472-1344 UR - https://doi.org/10.11648/j.ijcoms.20230901.12 AB - Purpose: Keloids are noncontagious, pathologic, irregular deposits of collagen within an injured area and its boundaries. Only a few publications have described treatment of facial keloids, and there is obvious inconsistency regarding the treatment of facial keloids, specifically due to the high rate of recurrence and patient’s expectation of the results. Materials and Methods: We performed a literature review for more than 35 articles to draw attention to the management and treatment of facial keloids. Results: There are several surgical techniques for managing facial keloids. First involves simple surgical excision. Second strategy involves surgical excision of the keloid within the margin of the lesion, leaving keloid at the periphery to avoid violating the healthy tissue thus minimizing the recurrence. The third strategy involves simple surgical excision of the keloid followed by radiotherapy which appears to be the most effective treatment of the keloids. A fourth technique involves simple surgical excision of the keloid followed by steroid injection. A fifth technique involves excision of the keloid and using the keloid skin for resurfacing or as a skin flap to cover the surgical defect followed by HBO treatment. A sixth technique involves excision of the keloid followed by using Cryopreserved Placental Membrane. There are also non-surgical strategies to manage keloids. The first involves Intralesional injection with a mixture of 5-fluorouracil and Betamethasone and the second involves hydration and compression therapy. Conclusions: Facial keloids are very difficult to manage. In addition, they may develop complications including infections. It is imperative to make all attempts to prevent keloid formation, as the management regardless of modality, often leads to recurrence. VL - 9 IS - 1 ER -
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